title: Attitudes of emergency department patients about handover at the bedside.
abstract: OBJECTIVE
  To explore patients' perspectives of bedside handover by nurses in the emergency department (ED).
  
  
  BACKGROUND
  International guidelines promote standardisation in clinical handover. Poor handover can lead to adverse incidents and expose patients to harm. Studies have shown that nurses and patients have favourable opinions about handover that is conducted at the bedside in hospital wards; however, there is a lack of evidence for patients' perspective of nursing handover in the ED environment.
  
  
  METHODS
  Qualitative descriptive study.
  
  
  METHODS
  Semi-structured interviews with 30 ED patients occurred within one hour of bedside handover. Data were analysed using thematic content analysis.
  
  
  RESULTS
  Two main themes were identified in the data. First, patients perceive that participating in bedside handover enhances individual care. It provides the opportunity for patients to clarify discrepancies and to contribute further information during the handover process, and is valued by patients. Patients are reassured about the competence of nurses and continuum of care after hearing handover conversations. Second, maintaining privacy and confidentiality during bedside handover is important for patients. Preference was expressed for handover to be conducted in the ED cubicle area to protect privacy of patient information and for discretion to be used with sensitive or new information.
  
  
  CONCLUSIONS
  Bedside handover is an acceptable method of performing handover for patients in the ED who value the opportunity to contribute and clarify information, and are reassured that their information is communicated in a private location.
  
  
  CONCLUSIONS
  From the patients' perspective, nursing handover that is performed at the bedside enhances the quality and continuum of care and maintains privacy and confidentiality of information. Nurses should use discretion when dealing with sensitive or new patient information.
authors.affiliation: School of Nursing and Midwifery, Victoria University, St Albans, Victoria, Australia.
authors.forename: Debra
authors.initials: D
authors.lastname: Kerr
authors.forename: Kate
authors.initials: K
authors.lastname: McKay
authors.forename: Sharon
authors.initials: S
authors.lastname: Klim
authors.forename: Anne-Maree
authors.initials: AM
authors.lastname: Kelly
authors.forename: Terence
authors.initials: T
authors.lastname: McCann
mesh_terms: D001290:Attitude; D004636:Emergency Service, Hospital; D005260:Female; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D024802:Nurse's Role; D062209:Patient Handoff; D017060:Patient Satisfaction; D010361:Patients / Q000523:psychology*; D011795:Surveys and Questionnaires; D014739:Victoria
keywords: bedside handover; emergency department; nursing care; patient; qualitative study; quality assurance